| NPI | 1124497995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP023180) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015236) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2021-07-23 |